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LIne number 78, 1703 PackageID= 0 package_CourseID= 9002

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Module 1September 29, 2017Presented by: Uri Bergmann, PhDTitle: Treating Dissociation in the Spectrum of Personality DisordersAbstractHistorically, the treatment of personality disorders has been described as difficult, if not impossible; manifested by a rigid character-armor and defensive resistance. These diagnostic categories include individuals manifesting character pathology, borderline personalities, antisocial and sociopathic tendencies as well as addictive behaviors.These clients have often been seen as poor candidates for EMDR or even non-responders. They are often mandated for treatment or come at the behest of others. Their histories often include early repeated experiences of abuse, deprivation, abandonment and parental coldness. The hallmarks of personality disorders are rigid, intractable defenses, difficulty relating and empathizing with others as well as acting-out behavior.This presentation will propose that the symptoms of personality disorders be viewed as aspects of dissociation and will examine the applications of ego state concepts and techniques to all phases of the EMDR protocol in order to facilitate the treatment of these clients. Central to this approach is the conceptualization of self and object representations, self-objects, or schemas as ego-states. Discussion will include how to use a developmental approach to assessment, and will review the identification, mapping and accessing of ego-states as well as how to promote ego-state-specific EMDR targets, facilitating the enhancement of EMDR processing.Objectives1. Participants will be able to discuss and integrate the concepts of dissociation, ego states, and levels of co-consciousness with the phenomena of ego-syntonic traits, self and object representations, self-objects, and schemas.2. Participants will be able to discuss and describe how to developmentally assess, identify, map and access ego-states of personality disordered clients and how to promote their ego state participation in EMDR preparation and targeting. 3. Participants will be prepared to utilize ego-state-specific EMDR targeting to enhance the processing of these most difficult clients.

Module 2September 30, 2017Presented by: Colin Ross, MDTitle:Trauma, Dissociation and Personality Disorders: Principles for Preparation and Stabilization in EMDRAbstractIn this presentation, Dr. Ross will explain the relationships between trauma, dissociation and personality disorders, with an emphasis on borderline personality disorder (BPD). He will describe a slightly modified version of the theory of structural dissociation, according to which BPD can be understood as a type of dissociative disorder. He will briefly review research data on the overlap and relationship between dissociative identity disorder (DID) and BPD. In addition, Dr. Ross will go over a number of other personality disorders, explaining how they can be understood as reactions to trauma: these will include paranoid, schizotypal, narcissistic, histrionic and antisocial personality disorders. He will discuss treatment approaches for preparation and stabilization that follow from this perspective. Although he will not go into the desensitization phases of EMDR, strategies for targeting follow naturally from this perspective.ObjectivesParticipants will be able to:

Describe a modified version of the theory of structural dissociation.

Describe the relationships and overlap between borderline personality disorder and dissociative identity disorder.

Describe the relationships between trauma, dissociation and a range of other personality disorders.

Module 3October 6, 2017Presented by: Dolores Mosquera, MSTitle: The relevance of understanding the different types of Dysfunctional Stored Information in Personality Disorders. How to identify and work with the variety of targets that are related to the most problematic symptoms.AbstractPersonality Disorders present great challenges for clinicians. Patients with this diagnosis often present with high risk behaviors, diverse difficulties in self-regulation, impulsivity issues and severe problems in their interpersonal relationships. Some clients with personality disorders, especially those with Borderline Personality Disorder present self-harming behaviors, suicidal ideation and a history of or risk of suicide attempts. Others present poor impulse control and aggressive reactions that can be frightening for themselves and others, including clinicians. Clients with Personality Disorders can generate strong countertransference issues in clinicians, and EMDR can mobilize strong affect in clients. Therefore, it is important for clinicians to be alert to and to be able to recognize defensive responses and affect phobias both in themselves and their personality disorder patients.On the other hand, sometimes it can be difficult for EMDR trained clinicians to establish the connecting thread between the patient’s symptoms (including the frequent difficulties they present in the therapeutic relationship) and the early environments in which they grew up, characterized by a high rate of attachment disruptions and severe traumatic events. In this presentation, Dolores Mosquera will explain how the Adaptive Information Processing Model can help understand the underlying issues of the most problematic symptoms in Personality Disorders, how to go from current symptoms to specific targets for EMDR reprocessing and the different types of dysfunctional information that should be addressed in this population. Dolores will also explain some of the most frequent defensive processes and difficulties that take place in this population during Phases 3-7 of EMDR Therapy and how to address them.ObjectivesParticipants will be able to:

Describe the different types of Dysfunctional Stored Information to identify a variety of targets in this population.

Describe at least 5 defensive regulation strategies.

Describe different problems that arise during Phases 3 to 7 of EMDR Therapy.

Describe the role of dysfunctional positive affect in Personality Disorders.

Module 4October 7, 2017Presented by: Jim Knipe, PhDTitle:Using modified EMDR Procedures to Treat Issues of “locus of Control Shift” and “Attachment to the Perpetrator” (Ross and Halpern, 2009), Utilizing the CIPOS, Loving Eyes” and “Healing Dialogue” MethodsAbstractEMDR-related therapy procedures will be proposed for treatment of dissociative clients who present with intense chronic shame resulting from sexual abuse by caretakers. A treatment model will be presented involving appropriately sequenced procedures of:

Identification of well-remembered traumas and targeting with standard EMDR

Identification of initially dissociated traumas, through bridging to the source of intrusive symptoms (e.g.hallucinatory experiences (voices)

Therapeutic visualization of the younger child part of the personality, as an emotionally safer means of establishing dual attention within the window of tolerance

Trauma processing, with emotional safety enhanced through frequent installation of present orientation and safety, and

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Credits: 12

CE Fee: $799

This Ce-Classes.com course is approved for CE credit by:

The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.

Association of Social Work Boards (ASWB) CE-Classes.com, provider #1142, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CE-Classes.com maintains responsibility for the program. ASWB Approval Period: 1/5/2017-1/5/2020. Social workers should contact their regulatory board to determine course approval.

The Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2019

The California Board of Behavioral Sciences. Ce-Classes.com is approved to provide continuing education by the following professional organizations: ASWB and APA. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by these nationally recognized certifying bodies to satisfy renewal requirements.

New York Social Work Board – Ce-Classes.com is recognized by the New York State Education
Department’s State Board for Social Work as an approved provider of
continuing education for licensed social workers #SW-0120.

The Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2020 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.